근전도 생체되먹임 기반 닫힌사슬운동이 무릎넙다리통증증후군의 넙다리네갈래근 근활성도와 동적 균형에 미치는 영향
Effects of EMG-Biofeedback based Closed Kinetic Chain Exercise on Quadriceps Muscle Activity and Dynamic Balance in Patellofemoral Pain Syndrome
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Purpose: The purpose of this study was to determine the effects of electromyography (EMG)-biofeedback based closed kinetic chain exercise (CKCE) on quadriceps muscle activity and dynamic balance ability in patellofemoral pain syndrome (PFPS). Methods: Thirty subjects with PFPS were included and they were divided into EMG-biofeedback using CKCE (Group Ⅰ) and squat exercise using CKCE (Group Ⅱ), each group consisted of 15 patients. Group Ⅰ and Group Ⅱ was performed by the patients for three times a week, for six weeks. sEMG was used to measure quadriceps muscle activity and star excursion balance test (SEBT) was used to measure dynamic balance ability. Results: According to the results of the comparisons between the groups, after intervention, quadriceps muscle activity and dynamic balance ability were significantly higher in Group Ⅰ than in the Group Ⅱ. Conclusion: Findings of this study suggest that EMG-biofeedback using CKCE that provides real-time biofeedback information on muscle contraction may have a beneficial effect on selective muscle strength of vastus medialis oblique muscle and dynamic balance ability in PFPS.
Abstract
Purpose: The purpose of this study was to determine the effects of electromyography (EMG)-biofeedback based closed kinetic chain exercise (CKCE) on quadriceps muscle activity and dynamic balance ability in patellofemoral pain syndrome (PFPS). Methods: Thirty subjects with PFPS were included and they were divided into EMG-biofeedback using CKCE (Group Ⅰ) and squat exercise using CKCE (Group Ⅱ), each group consisted of 15 patients. Group Ⅰ and Group Ⅱ was performed by the patients for three times a week, for six weeks. sEMG was used to measure quadriceps muscle activity and star excursion balance test (SEBT) was used to measure dynamic balance ability. Results: According to the results of the comparisons between the groups, after intervention, quadriceps muscle activity and dynamic balance ability were significantly higher in Group Ⅰ than in the Group Ⅱ. Conclusion: Findings of this study suggest that EMG-biofeedback using CKCE that provides real-time biofeedback information on muscle contraction may have a beneficial effect on selective muscle strength of vastus medialis oblique muscle and dynamic balance ability in PFPS.
참고문헌 (40)
- Pablo Alba-Martín, "Effectiveness of therapeutic physical exercise in the treatment of patellofemoral pain syndrome: a systematic review", Journal of Physical Therapy Science, 27(7), pp.2387~2390 (2015), Society of Physical Therapy Science[DOI]
- Gabriel Peixoto Leão Almeida, "Q-angle in patellofemoral pain: relationship with dynamic knee valgus, hip abductor torque, pain and function", Revista Brasileira de Ortopedia (English Edition), 51(2), pp.181~186 (2016), Georg Thieme Verlag KG[DOI]
- Alonazi A, "Efficacy of electromyographic-biofeedback supplementation training with patellar taping on quadriceps strengthening in patellofemoral pain syndrome among young adult male athletes", Int J Environ Res Public Health, 18(9), pp.4514~ (2021)[DOI]
- Adinun Apivatgaroon, "The validity and reliability of the Thai version of the Kujala score for patients with patellofemoral pain syndrome", Disability and Rehabilitation, 38(21), pp.2161~2164 (2016), Informa UK Limited[DOI]
- Barton CJ, "Relationships between the foot posture index and foot kinematics during gait in individuals with and without patellofemoral pain syndrome", J Foot Ankle Res, 4, pp.10~ (2011)[DOI]
- K. Bloomquist, "Effect of range of motion in heavy load squatting on muscle and tendon adaptations", European Journal of Applied Physiology, 113(8), pp.2133~2142 (2013), Springer Science and Business Media LLC[DOI]
- M. Boling, "Gender differences in the incidence and prevalence of patellofemoral pain syndrome", Scandinavian Journal of Medicine & Science in Sports, 20(5), pp.725~730 (2010), Wiley[DOI]
- Chang WD, "Effects of kinesio taping versus McConnell taping for patellofemoral pain syndrome: A systematic review and meta-analysis", Evid Based Complement Alternat Med, pp.471208~ (2015)[DOI]
- Shuya Chen, "Electromyographic analysis of hip and knee muscles during specific exercise movements in females with patellofemoral pain syndrome", Medicine, 97(28), pp.e11424~ (2018), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Dave R. Clark, "Muscle Activation in the Loaded Free Barbell Squat", Journal of Strength and Conditioning Research, 26(4), pp.1169~1178 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Citaker S, "Static balance in patients with patellofemoral pain syndrome", Sports Health, 3(6), pp.524~527 (2011)[DOI]
- Criado L, "Electromyographic biofeedback training for reducing muscle pain and tension on masseter and temporal muscles : A pilot study", J Clin Exp Dent, 8(5), pp.571~576 (2016)[DOI]
- Kay M Crossley, "2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 1: Terminology, definitions, clinical examination, natural history, patellofemoral osteoarthritis and patient-reported outcome measures", British Journal of Sports Medicine, 50(14), pp.839~843 (2016), BMJ[DOI]
- Doucet BM, "Neuromuscular electrical stimulation for skeletal muscle function", Yale J Biol Med, 85(2), pp.201~215 (2012)
- Nigar Dursun, "Electromyographic biofeedback–controlled exercise versus conservative care for patellofemoral pain syndrome", Archives of Physical Medicine and Rehabilitation, 82(12), pp.1692~1695 (2001), Elsevier BV[DOI]
- Rebecca A. Dutton, "Patellofemoral Pain", Physical Medicine and Rehabilitation Clinics of North America, 27(1), pp.31~52 (2016), Elsevier BV[DOI]
- Emamvirdi M, "The effect of valgus control instruction exercise on pain, strength, and functionality in active females with patellofemoral pain syndrome", Sports Health, 11(3), pp.223~237 (2019)[DOI]
- Erdoganoglu Y, "Lower extremity alignment due to patellofemoral syndrome and dynamic postural balance", J Orthop Surg, 28(1), pp.2309499019900819~ (2020)[DOI]
- Felicio LR, "Electromyographic activity of the quadriceps and gluteus medius muscles during", different straight leg raise and squat exercises in women with patellofemoral pain syndrome, 2019, pp.48, 17~23
- Gaitonde DY, "Patellofemoral pain syndrome", Am Fam Physician, 99(2), pp.88~94 (2019)
- Glaviano NR, "Demographic and epidemiological trends in patellofemoral pain", Int J Sports Phys Ther, 10(3), pp.281~290 (2015)
- Neal R. Glaviano, "Improvements in Lower-Extremity Function Following a Rehabilitation Program With Patterned Electrical Neuromuscular Stimulation in Females With Patellofemoral Pain: A Randomized Controlled Trial", Journal of Sport Rehabilitation, 29(8), pp.1075~1085 (2020), Human Kinetics[DOI]
- Rianne A van der Heijden, "Exercise for treating patellofemoral pain syndrome", Cochrane Database of Systematic Reviews, 21, pp.CD010387~ (2015), Wiley[DOI]
- J Hertel, "Combining isometric knee extension exercises with hip adduction or abduction does not increase quadriceps EMG activity", British Journal of Sports Medicine, 38(2), pp.210~213 (2004), BMJ[DOI]
- A. Holtermann, "The use of EMG biofeedback for learning of selective activation of intra-muscular parts within the serratus anterior muscle", Journal of Electromyography and Kinesiology, 20(2), pp.359~365 (2010), Elsevier BV[DOI]
- Jaberzadeh S, "The Effect of altering knee position and squat depth on VMO : VL EMG ratio during squat Exercises", Physiother Res Int, 21(3), pp.164~173 (2016)[DOI]
- Jayaseelan DJ, "Functional joint mobilizations for patellofemoral pain : A clinical suggestion", Int J Sports Phys Ther, 15(4), pp.643~649 (2020)
- Ju-Hong Kim, "The effects of training using EMG biofeedback on stroke patients upper extremity functions", Journal of Physical Therapy Science, 29(6), pp.1085~1088 (2017), Society of Physical Therapy Science[DOI]
- 김동연, "내측 사선 광근에 대한 EMG Biofeedback 훈련과 테이핑 적용이 슬개골 부정렬 환자의 기능향상에 미치는 효과", 대한물리치료학회지, 20(3), pp.35~44 (2008), 대한물리치료학회
- Tugba Kuru, "Comparison of efficiency of Kinesio® taping and electrical stimulation in patients with patellofemoral pain syndrome", Acta Orthopaedica et Traumatologica Turcica, 46(5), pp.385~392 (2012), AVES Publishing Co.[DOI]
- Hossein Negahban, "The effects of muscle fatigue on dynamic standing balance in people with and without patellofemoral pain syndrome", Gait & Posture, 37(3), pp.336~339 (2013), Elsevier BV[DOI]
- Ng GY, "Biofeedback exercise improved the EMG activity ratio of the medial and lateral vasti muscles in subjects with patellofemoral pain syndrome", J Electromyogr Kinesiol, 18(1), pp.128~133 (2008)[DOI]
- Saltychev M, "Effectiveness of conservative treatment for patellofemoral pain syndrome : A systematic review and meta-analysis", J Rehabil Med, 50(5), pp.393~401 (2018)[DOI]
- Sherman SL, "Patellofemoral anatomy and biomechanics", Clin Sports Med, 33(3), pp.389~401 (2014)[DOI]
- Singh GK, "Preferential strengthening of VMO muscle during selected biomechanical rehabilitative exercises of automotive workers with patellofemoral pain syndrome", Work, 60(1), pp.135~141 (2018)[DOI]
- Simon F.T. Tang, "Vastus medialis obliquus and vastus lateralis activity in open and closed kinetic chain exercises in patients with patellofemoral pain syndrome: An electromyographic study", Archives of Physical Medicine and Rehabilitation, 82(10), pp.1441~1445 (2001), Elsevier BV[DOI]
- P. E. J. Ummels, "Reliability of the Dutch translation of the Kujala Patellofemoral Score Questionnaire", Physiotherapy Research International, 22(1), pp.e1649~ (2017), Wiley[DOI]
- Selina Lm Yip, "Biofeedback supplementation to physiotherapy exercise programme for rehabilitation of patellofemoral pain syndrome: a randomized controlled pilot study", Clinical Rehabilitation, 20(12), pp.1050~1057 (2006), SAGE Publications[DOI]
- Yoo JW, "Augmented effects of EMG biofeedback interfaced with virtual reality on neuromuscular control and movement coordination during reaching in children with cerebral palsy", NeuroRehabilitation, 40(2), pp.175~185 (2017)[DOI]
- Hayri Baran Yosmaoglu, "Is there a relationship between tracking ability, joint position sense, and functional level in patellofemoral pain syndrome?", Knee Surgery, Sports Traumatology, Arthroscopy, 21(11), pp.2564~2571 (2013), Springer Science and Business Media LLC[DOI]
